Project Room Contents VA FREESTANDING (LEASE) OP DIALYSIS CENTER 16 SIXTEEN STATIONS ANYCITY Projected Year: 2013 Midpoint Year: 2013 VISN: 0 State: XX Station ID: 000 Station Name: VAXXX, Any City Installation: VA Anywhere Healthcare System Project Created: 22 Oct 2013 08:26AM ET by Laura DiConti Space Plan Last Edited: 01 Dec 2013 09:55PM ET by Laura DiConti Contents List Created: 22 Oct 2013 02:15PM ET by Lisa Ahlers Contents List Last Edited: 13 Dec 2013 10:46AM ET by Lisa Ahlers Report Generated: 13 Dec 2013 10:46AM ET
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Project Room Contents - cfm.va.gov · Project Room Contents VA FREESTANDING ... Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN A5210 Bracket, Television, ...
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Project Room Contents
VA FREESTANDING (LEASE) OP DIALYSIS CENTER � 16
SIXTEEN STATIONS
ANYCITY
Projected Year: 2013 Midpoint Year: 2013
VISN: 0 State: XX Station ID: 000
Station Name: VAXXX, Any City
Installation: VA Anywhere Healthcare System
Project Created: 22 Oct 2013 08:26AM ET by Laura DiConti
Space Plan Last Edited: 01 Dec 2013 09:55PM ET by Laura DiConti
Contents List Created: 22 Oct 2013 02:15PM ET by Lisa Ahlers
Contents List Last Edited: 13 Dec 2013 10:46AM ET by Lisa Ahlers
Report Generated: 13 Dec 2013 10:46AM ET
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 2)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: RECEPTION AREA Room Code: WRC01 Room Area: 240 Agency Room Name: Waiting Occupancy: 0 Criteria Room Name: Waiting Room Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA 226 226 A . . . . . . 7730
A6046 Artwork, Decorative, With Frame 1 EA 526 526 C . . . . . . 6230
F0305 Chair, Waiting Room, Single 12 EA 612 7,344 C . . . . . . 7100
F0305 Chair, Waiting Room, Single 1 EA 634 634 C . . . . . . 7100
modify to F0305M, Chair, Waiting Room, Single, Bariatric
F0740 Table, Occasional, Lamp 1 EA 338 338 C . . . . . . 7110
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
M0515 Television, Plasma 1 EA 755 755 C . A . . . A
Comment: Flat Screen LED TV, size TBD per room layout
Total Content Costs for this Room: 9,872
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: RECEPTION AREA Room Code: RECP1 Room Area: 120 Agency Room Name: Reception Occupancy: 0 Criteria Room Name: Reception Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 A . . . . . . 5805
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 A . . . . . . 5805
A6105 Counter, Reception Control, Built5In 1 EA 6,854 6,854 A . A . . . . 6530
F0275 Chair, Swivel, High Back 1 EA 649 649 C . . . . . . 7110
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 592 592 C . . . . . . 7110
F2000 Basket, Wastepaper, Round, Metal 1 EA 25 25 C . . . . . . 7520002051857
F2540 Shredder, Paper, Security 1 EA 246 246 C . A . . . . 7100
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,509 1,509 C . A . . . . 7025
M1840 Printer/Copier/Fax Combination 1 EA 842 842 C . A . . . . 7100
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 3)
modify to M1840M include scanner
Total Content Costs for this Room: 10,717
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: RECEPTION AREA Room Code: TLTU1 Room Area: 60 Agency Room Name: Toilet, Public Occupancy: 0 Criteria Room Name: Toilet, Unisex Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror, Float Glass, With SS Frame 1 EA 86 86 A . . . . . . 7105
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 52 52 A . . . . . . 7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 159 159 A . . . . . . 6530
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 32 32 A . . . . . . 5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
P3000 Lavatory, Vitreous China, Straight Back 1 EA 387 387 A D . . . . . 4510
P9050 Toilet, Wall Hung, Siphon Jet 1 EA 797 797 A B . . . . . 4510
Total Content Costs for this Room: 1,699
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: RECEPTION AREA Room Code: LR001 Room Area: 60 Agency Room Name: Alcove, Patient Personal Property Lockers Occupancy: 0 Criteria Room Name: Locker Area, Personal Property Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1030 Locker, 2 Person, Over/Under 24 EA 285 6,840 C . . . . . . 7125
Total Content Costs for this Room: 6,840
Total Content Costs for this Functional Area: 29,128
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 4)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 5)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 6)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 7)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 8)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 9)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 10)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC01 Room Area: 80 Agency Room Name: Renal Dialysis, Chair Station Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,852
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 11)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: XXYYC Room Area: 100 Agency Room Name: Renal Dialysis, Bariatric Chair Station Occupancy: 0 Criteria Room Name: test code Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
modify to M4905M bariatric
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 23,698
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: XXYYC Room Area: 100 Agency Room Name: Renal Dialysis, Bariatric Chair Station Occupancy: 0 Criteria Room Name: test code Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1200 Lift System, Overhead, Patient Room 1 EA 8,198 8,198 A . F . . . J 6530
Lift to be shared with adjacent room if location allows
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 18 FT 7 126 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 317 317 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
modify to M4905M bariatric
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 12)
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Total Content Costs for this Room: 32,050
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDC02 Room Area: 140 Agency Room Name: Renal Dialysis, Separation Room Occupancy: 0 Criteria Room Name: Renal Dialysis, Chair Station, Negative Pressure Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 A . . . . . . 5805
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 14 FT 7 98 A . . . . . . 6530
A5215 Bracket, Television, Ceiling Mounted 1 EA 306 306 B . . . . . . 7730
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 20,181 20,181 C E A . . . . 6515
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,457 1,457 C . A . . . . 7025
M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA 1,033 1,033 C . B . . . D 7110
M3070 Hamper, Linen, Mobile, w/Lid 1 EA 545 545 C . . . . . . 7240
Comment: modify to M3070M, smaller model
M3072 Frame, Infectious Waste Bag w/Lid 1 EA 300 300 C . . . . . . 7240
Comment: modify to M3072M, smaller model
M4905 Chair, Dialysis 1 EA 1,843 1,843 C . . . . . . 6530
P2000 Eyewash, Wall Mounted, Hands5Free 1 EA 370 370 A B . . . . . 4510
P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530
Modify to P2450M1 0 Thermostatic Mixing Valve for Emergency Eyewash/Facewash
P3100 Lavatory, Vitreous China, Slab Type 1 EA 498 498 A D . . . . . 4510
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 13)
Total Content Costs for this Room: 30,814
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: TLTU1 Room Area: 60 Agency Room Name: Toilet, Separation Room Patient Occupancy: 0 Criteria Room Name: Toilet, Unisex Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1066 Mirror, Float Glass, With SS Frame 1 EA 86 86 A . . . . . . 7105
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 52 52 A . . . . . . 7240
A5109 Grab Bar, 151/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 159 159 A . . . . . . 6530
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 32 32 A . . . . . . 5340007541678
A5200 Dispenser, Toilet Tissue, SS, 25Roll, Surface Mntd 1 EA 45 45 A . . . . . . 4510007026934
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
P3000 Lavatory, Vitreous China, Straight Back 1 EA 387 387 A D . . . . . 4510
P9050 Toilet, Wall Hung, Siphon Jet 1 EA 797 797 A B . . . . . 4510
Total Content Costs for this Room: 1,699
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RDPD1 Room Area: 120 Agency Room Name: Home Training Room Occupancy: 0 Criteria Room Name: Renal Dialysis, Peritoneal Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530
A5180 Track, Cubicle, Surface Mounted, With Curtain 10 FT 7 70 A . . . . . . 6530
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 14)
A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA 226 226 A . . . . . . 7730
E0963 Cart, General Storage, Mobile 1 EA 2,113 2,113 C . . . . . . 6530
F0205 Chair, Side With Arms 1 EA 543 543 C . . . . . . 7110
F0780 Table, Work, 60W x 30D 1 EA 488 488 C . . . . . . 7110
Modify to F0780M 0 size 24" deep and 36" wide
F2010 Basket, Wastepaper, Step5On 1 EA 35 35 C . . . . . . 7240007883953
F3200 Clock, Battery, 12" Diameter 1 EA 49 49 C . . . . . . 6645
M0506 Television, Flat Screen 1 EA 421 421 C . A . . . . 7730
M1715 Hemodialysis Unit, Hollow Fiber or Plate 1 EA 19,493 19,493 C E A . . . . 6515
comment: M1715M 0 Home Hemo Dialysis Machine for Training
M3072 Frame, Infectious Waste Bag w/Lid 1 EA 300 300 C . . . . . . 7240
Comment: modify to M3072M, smaller model
M4860 Peritoneal Dialysis Unit, Hollow 1 EA 16,130 16,130 C E A . . . . 6515
Comment: Peritoneal Dialysis unit optional if Hometraining for Peritoneal Dialysis is part of the Functional Program
M4905 Chair, Dialysis 1 EA 1,780 1,780 C . . . . . . 6530
P3100 Lavatory, Vitreous China, Slab Type 1 EA 498 498 A D . . . . . 4510
P8705 Dialysis Box, Recessed, Single Valve 1 EA 810 810 A E . . . . . 4100
U0011 Signature Pad, Electronic, 1 EA 153 153 C . . . . . .
Total Content Costs for this Room: 43,334
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: NSTA4 Room Area: 140 Agency Room Name: Nurse Station / Workarea Occupancy: 0 Criteria Room Name: Nurse Station, Outpatient Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 A . . . . . . 5805
A1015 Telephone, Desk, Multiple Line 2 EA 0 0 A . . . . . . 5805
A5070 Dispenser, Liquid Soap, SS, Surface Mounted 2 EA 60 120 A . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 2 EA 46 92 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 2 EA 89 178 A . . . . . . 4510
C0045 Frame, Apron, 1 Drawer, 4x36x22 1 EA 381 381 A . . . . . . 6530
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 15)
C0046 Frame, Apron, 2 Drawer, 4x48x22 1 EA 590 590 A . . . . . . 6530
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1180 Scale, Roll On, Built In, 2000 Pound Capacity 1 EA 5,000 5,000 A . A . . . . 6530
Modify to A1180M 0 flush mounted floor scale for wheelchair, chair and stand0on weighing, 800 lbs weight capacity, heavy duty hand rail for patient safety. Including rough0in frame, 100g accuracy and a flush or surface mounted computer enhanced readout.
A5070 Dispenser, Liquid Soap, SS, Surface Mounted 1 EA 58 58 A . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 45 45 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 86 86 A . . . . . . 4510
F3010 Board, Bulletin, 48 x 48 1 EA 119 119 A . . . . . . 7195
P3100 Lavatory, Vitreous China, Slab Type 1 EA 481 481 A D . . . . . 4510
Total Content Costs for this Room: 5,789
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: SRLW1 Room Area: 75 Agency Room Name: Alcove, Wheelchair Occupancy: 0 Criteria Room Name: Storage Room/area, Litter/Wheelchair Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
M4705 Wheelchair, Patient Transport, Folding 2 EA 496 992 C . . . . . . 6530
Total Content Costs for this Room: 992
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RCA01 Room Area: 20 Agency Room Name: Alcove, Quick Response Cart Occupancy: 0 Criteria Room Name: Resuscitation Cart Alcove Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
M1100 Resuscitator, Bag5Mask, Hand Operated 1 EA 288 288 C . . . . . . 6515
M7665 Defibrillator/Monitor/Recorder Automatic 1 EA 3,448 3,448 C . A . . . . 6515
M7905 Oximeter, Pulse 1 EA 2,604 2,604 C . A . . . . 6515
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 20)
M8770 Aspirator/Pressure Unit, General Purpose 1 EA 1,763 1,763 C . A . . . . 6515
U0012 Cart, Quick Response 1 EA 1,017 1,017 C . . . . . .
Total Content Costs for this Room: 9,120
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RCA02 Room Area: 20 Agency Room Name: Alcove, Portable Lift Occupancy: 0 Criteria Room Name: Alcove, Equipment Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 45 45 C . . . . . .
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: PATIENT AREA Room Code: RCA02 Room Area: 20 Agency Room Name: Alcove, Mobile Equipment Occupancy: 0 Criteria Room Name: Alcove, Equipment Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
E0945 Cart, Computer, Mobile 2 EA 1,893 3,786 C . . . . . . 6530
M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA 1,457 2,914 C . A . . . . 7025
M4116 Monitor, Vital Signs 1 EA 2,387 2,387 C . A . . . . 6515
U0011 Signature Pad, Electronic, 2 EA 153 306 C . . . . . .
Total Content Costs for this Room: 9,393
Total Content Costs for this Functional Area: 595,171
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: SUPPORT AREA Room Code: RDWT1 Room Area: 345 Agency Room Name: Water Treatment / Dialysate Preparation Room Occupancy: 0
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 21)
Criteria Room Name: Renal Dialysis, Water Treatment Room Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 A . . . . . . 5805
A1019 Telephone, Wall Mounted, Multi5Line, Cordless 1 EA 0 0 A . . . . . . 5805
A5075 Dispenser, Soap, Disposable 1 EA 16 16 C . . . . . . 4510
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 86 86 A . . . . . . 4510
E0120 Workstation, Straight, Free Standing, 60" W 1 EA 6,315 6,315 C . A . . . . 6530
F0230 Chair, Drafting, Rotary 1 EA 371 371 C . . . . . . 7110002814469
P2450 Valve, Mixing, Thermostatic 1 EA 2,643 2,643 A A . . . . . 6530
Modify to P2450M2 0 Thermostatic Mixing Valve for Shower, Safety, Freestanding with Eye/Face Wash
P3100 Lavatory, Vitreous China, Slab Type 1 EA 481 481 A D . . . . . 4510
P5210 Shower, Safety, Freestanding, With Eye/Face Wash 1 EA 909 909 A B . . . . . 4510
U0001 Direct Feed, RO Water 1 EA 152,550 152,550 C D G . . . .
U0002 Distribution System, Acid 1 EA 15,255 15,255 C . A . . . .
U0003 Pump, Drum / Barrel 1 EA 811 811 C . A . . . .
U0004 Meter, Chlorine, battery powered, Kit 3 EA 432 1,296 C . . . . . .
comment: qty (2) for low range and qty (1) for high range
U0005 Meter, Water Quality, Multi Parameters, Battery powered
2 EA 966 1,932 C . . . . . .
Total Content Costs for this Room: 182,665
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: SUPPORT AREA Room Code: MECH1 Room Area: 40 Agency Room Name: Water Heater Room Occupancy: 0 Criteria Room Name: Mechanical Rooms Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1000 Extinguisher, Fire 1 EA 112 112 C . . . . . . 5805
Total Content Costs for this Room: 112
Project Room Contents (13 Dec 2013 10:46AM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 22)
Department: VA FREESTANDING (LEASE) OP DIALYSIS CENTER 5 16 Functional Area: SUPPORT AREA Room Code: MEDP1 Room Area: 80 Agency Room Name: Medication Preparation Room Occupancy: 0 Criteria Room Name: Medication Preparation Station Blueprint #:
JSN Content Name Qty Unit Of Issue
Unit Price Total Price Log Cat Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 3 EA 0 0 A . . . . . . 5805
A1014 Telephone, Wall Mounted, 1 Line, With Speaker 1 EA 0 0 A . . . . . . 5805
A5075 Dispenser, Soap, Disposable 1 EA 17 17 C . . . . . . 4510
A5077 Dispenser, Hand Sanitizer, Hands5Free 1 EA 46 46 C . . . . . .
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 A . . . . . . 4510
A5106 Waste Disposal Unit, Sharps w/Glove Dispenser 1 EA 73 73 C . . . . . . 6530